Purim in the Palace - KansasJewish.com

Child's Full Name*

First Name Last Name Age
2nd Child's Name

First Name Last Name Age
3rd Child's Name

First Name Last Name Age
Name of Accompanying Adult*

First Name Last Name
E-mail*
Phone Number

Area Code Phone Number
Please select this ONLY if your child can not tolerate Gluten. please write for which kids.
Cost:

1 Child $8 ~ 2 Children $15 ~ 3 Children $20
Please select one*

1 child 2 Chidren 3 Chidren
Total

$0.00

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

More in this section